Caroline Croskey Cassleman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020904 Issued in MI

Practice address

1500 E. Medical Center Drive
B1 208 Taubman Center, SPC 5018
Ann Arbor, MI 48109-5018

Phone

(734) 232-6048

NPI assigned

May 29, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Clair Tooth Company PLLC

  • General Practice Dentistry
  • Saint Clair Shores, MI
  • NPI 1801361092
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1285071423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011281",
            "telephone_number": "313-383-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DRIVE",
            "address_2": "B1 208 TAUBMAN CENTER, SPC 5018",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095018",
            "telephone_number": "734-232-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSLEMAN",
        "first_name": "CAROLINE",
        "middle_name": "CROSKEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Rose Casper
• Keith Andrew Casper, MD
• Claire J Casselman, LMSW
• Devon Cassidy, MD
• Tiffany Nicole Cassidy, NP
• Mari Paz Castanedo Tardan, M.D.
• Kristin Castelvetere, PHD
• Rolando Israel Castillo Salcedo, DO
• Jennifer Elizabeth Castillo, MD
• Kari Zureki Castillo, NP

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.